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These include: Pernicious Anemia: An autoimmune disease that stops the stomach from making a protein needed for B12 absorption
Not intended for medical, therapeutic, diagnostic or clinical applications
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However, once diagnosed it presents a difficult management problem in patients suffering from pernicious anemia, as there is no substitute
This maintenance phase begins only after the initial deficiency has been corrected and the patients blood markers have stabilized within the normal range
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